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Evaluation of an individually tailored oral health educational programme on periodontal health
Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science. Uppsala University.ORCID iD: 0000-0002-7781-8527
Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.ORCID iD: 0000-0002-7972-1470
2010 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 37, no 10, 912-919 p.Article in journal (Refereed) Published
Abstract [en]

Aim: To evaluate an individually tailored oral health educational programme (ITOHEP) on periodontal health compared with a standard oral health educational programme. A further aim was to evaluate whether both interventions had a clinically significant effect on non-surgical periodontal treatment at 12-month follow-up.

Material and Method: A randomized, evaluator-blinded, controlled trial with 113 subjects (60 females and 53 males) randomly allocated into two different active treatments was used. ITOHEP was based on cognitive behavioural principles and motivational interviewing. The control condition was standard oral hygiene education (ST). The effect on bleeding on probing (BoP), periodontal pocket depth, “pocket closure” i.e. percentage of periodontal pocket >4 mm before treatment that were <5 mm after treatment, oral hygiene [plaque indices (PlI)], and participants' global rating of oral health was evaluated. Preset criteria for PlI, BoP, and “pocket closure” were used to describe clinically significant non-surgical periodontal treatment success.

Results: The ITOHEP group had lower BoP scores 12-month post-treatment (95% confidence interval: 5–15, p<0.001) than the ST group. No difference between the two groups was observed for “pocket closure” and reduction of periodontal pocket depth. More individuals in the ITOHEP group reached a level of treatment success. Lower PlI scores at baseline and ITOHEP intervention gave higher odds of treatment success.

Conclusions: ITOHEP intervention in combination with scaling is preferable to the ST programme in non-surgical periodontal treatment.

Place, publisher, year, edition, pages
Blackwell , 2010. Vol. 37, no 10, 912-919 p.
Keyword [en]
clinical significance; cognitive behavioural strategies; oral hygiene behaviour; periodontitis; randomized-controlled trial
National Category
Health Sciences
Research subject
Hälsa och välfärd
Identifiers
URN: urn:nbn:se:du-5079DOI: 10.1111/j.1600-051X.2010.01590.xISI: 000281636300007PubMedID: 20561115OAI: oai:dalea.du.se:5079DiVA: diva2:520271
Available from: 2010-11-11 Created: 2010-11-11 Last updated: 2015-10-28Bibliographically approved

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CiteExportLink to record
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